NPI age
13 years
Enumerated 2012-09-05
● Active Type 2 · Organization
Kathleen M. Raviele, MD Pc
Kathleen M. Raviele, MD Pc is 1 of 267 obstetrics & gynecology organizations in Georgia.
Primary specialty
Obstetrics & Gynecology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Garrison
Insurance
Last NPPES update
2015-07-09
Source: monthly bulk 2026-05
How this organization compares
Across 267 active obstetrics & gynecology providers in Georgia.
NPI age
13 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-09Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
2799 Lawrenceville Hwy, Suite 110
Decatur, GA 300332517
Mailing address
2799 Lawrenceville Hwy, Suite 110
Decatur, GA 300332517
Authorized official
Carol H Garrison
Insurance
📞 7704910255
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Rosanna Bahadur, M.D. Ophthalmology NPI 1265463434
- Sara Dale, PT, DPT Physical Therapist NPI 1366707770
- Thomas Edwards, M.D. Specialist NPI 1326029125
- Marc Herscher, PT Physical Therapist NPI 1205902822
- Trudi Johnston, PH.D. Psychologist NPI 1225191463
- Alison Maskell, DPT Physical Therapist NPI 1659512572
- Charles Matthews, M.S. Counselor NPI 1376755900
- Kathleen Raviele, MD Obstetrics & Gynecology NPI 1508954298
Specialties
-
Obstetrics & Gynecology PrimaryA physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000179935C | |
| 01 (GA) | 16BDCCB | MEDICARE PTAN |
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.